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KMID : 1155520090040040290
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Anesthesia and Pain Medicine
2009 Volume.4 No. 4 p.290 ~ p.293
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Diaphragmatic paralysis following alcohol celiac plexus neurolysis and a review of literature?A case report?
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Kim Jae-Hun
Park Soo-Young
Nahm Sahn-Gun
Sung Bo-Hyun
Kim Yong-Chul
Lee Sang-Chul
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Abstract
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A 54-year-old man who had metastasis of gastric cancer was referred to pain clinic to control his severe epigastric pain.After the confirmation of the effect of the diagnostic celiac plexus block, c-arm-guided neurolysis of celiac plexus using alcohol was performed without any sensory or motor change.Five days after the chemical neurolysis, elevated hemidiaphragm and basal atelectasis of right lung were noted at routine chest X-ray follow-up without any respiratory symptoms such as dyspnea.There was no evidence of diaphragmatic metastasis. Two months after the neurolysis, the radiographic finding did not show any change.
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KEYWORD
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Cancer, Celiac plexus block, Complication, Diaphragmatic paralysis, Neurolysis
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